BILL ANALYSIS SB 933 Page 1 Date of Hearing: July 1, 1998 ASSEMBLY COMMITTEE ON HUMAN SERVICES Dion Aroner, Chair SB 933 (Thompson) - As Proposed to be Amended SENATE VOTE : 36-2 SUBJECT : Child welfare services SUMMARY : Modifies the child welfare services system. Specifically, this bill : Assessment process : 1) Eliminates the requirement that the State Department of Social Services (DSS) develop and implement a level of care assessment by July 1, 1994. 2) States legislative findings that assessments that build on the strength of the child and family and identify desired outcomes are critical in the development of appropriate caseplans; that the safety, stability and permanence of families are of paramount importance for children; and that the use of multidisciplinary teams has proven to improve the assessment, case planning and delivery of services to children and families. 3) Requires DSS to collaborate with county placing agencies, consumers, mental health providers and other interested parties, and by April 1, 1999, develop and distribute a report to county placing agencies with guidelines on the best practices for assessing children and families receiving foster care and child welfare services. 4) Specifies the type of information to be included in the assessment and requires DSS to develop a pilot to test the effectiveness and usability of the guidelines. Requires DSS by September 1,1999, to solicit county participation in the pilot program. 5) Requires a report back to the Legislature on the status of the pilots, including information on how the assessment instrument will be implemented and how it will be incorporated into the Child Welfare Services Case Management System. 6) Requires DSS, in collaboration with county placing agencies, training academies, and the California Center for Social Work Education to integrate training and technical assistance on the family assessment guidelines into the curriculum of the regional training academies. Comments: 1) This bill eliminates the level of care assessment provisions required under WIC 11467, and creates instead a pilot project intended to develop SB 933 Page 2 an assessment process or instrument that is determined "effective" and "usable" by county placing agencies. SB 933 Page 3 2) The best practice protocols provided for in this bill are intended as informal guidelines to be used by counties, pending completion of the assessment pilots and adoption of a formal statewide assessment process. Assessments under Systems of Care : 1) Requires county mental health departments that receive full system of care funding to provide mental health screening, assessment, multidisciplinary treatment teams, and specialty mental health treatment services for children in group homes. Requires counties to give first priority in providing these services to children receiving psychoactive medication. 2) Requires the State Department of Mental Health (DMH) to estimate, by April 1, 1999, the resources available to meet the needs of children in group care, out-of-home care and those at risk of placement in out-of-home care. Requires the estimate to also identify resource gaps in the delivery of specialty mental health services. 3) Requires DMH, DSS and the Judicial Council, with input from counties, to develop a procedure for review of treatment plans for children receiving psychoactive medication in out-of-home care. Requires the procedure to be developed by July 1, 1999. Comments: 1) The Assembly Budget Committee augmented Children's System of Care (SOC) by $6 million to provide screening, assessments and interagency placement review. The county mental health directors estimate a cost of $22 million to implement SOC statewide. 2) AB 2598 (Aroner), heard by the Human Services Committee earlier this year, establishes a statewide system of health care for children in foster care and requires mental health assessments within 60 days of a child's placement in out of home care. In SOC counties this provision could fund the requirement for the mental health assessment. Suggested technical amendment : On page 121, line 21, after "specialty mental" insert: health Identification of Out-of-Home-Care Resources : 1) Establishes county or regional coordinator positions on a pilot basis in three counties to provide a link between community care licensing, foster care rate setting, and placing agencies. Requires the pilot projects to address issues of confidentiality and potential restrictions on sharing of information between service systems. 2) States legislative intent to create an efficient and consumer-responsive system to resolve placement or service delivery problems encountered by children in the foster care system. 3) Requires DSS to collaborate with county welfare departments, foster care SB 933 Page 4 consumers and providers, and children's advocates to develop an independent ombudsman program designed to provide access to the resources necessary to resolve problems of children in out of home care; to receive SB 933 Page 5 information regarding the provisions of health, education, and social services; and, to implement the ombudsman program by January 1, 2000. Comments: 1) It is unclear what function the county or regional coordinator would serve, and what problem would be addressed by instituting the pilot projects. It is also unclear how pilot areas would be selected. 2) The foster care ombudsman was one of the recommendations of the California Youth Connection (CYC), an organization of current and former foster youth. CYC proposed an ombudsman for children in out-of-home care to call when they were having any type of problem. The language is vague regarding the duties and role of the ombudsman. Resource development : 1) Establishes the Youth Services Community Development Program (YSCDP) and Youth Services Program Development Fund (YSPDF) within DSS, including a technical support unit, in order to initiate a continuum of family focused, case specific services for children who are at risk of becoming wards of the court under WIC section 601 or 602, or who are under juvenile court supervision or supervision of the juvenile probation department. a) Establishes a multidisciplinary team including DSS, DMH and Board of Corrections (BOC) to maintain oversight of the program, and issue grants on a competitive basis. b) Requires the board of supervisors of any county receiving program funds to establish a local planning council to meet and to advise the chief probation officer in program planning and expenditure of funds; and, prohibits the supplanting YSPDF funds. c) Requires DSS to make recommendations to the Department of Finance as to the level of funding to be included in the Governor's budget; and, provides that federal funds are available to the state for program development purposes through the YSPDF. d) Requires an interdisciplinary service delivery approach and specifies that programs or services shall be offered in a community-based setting that addresses child and family needs, including services provided in county operated residential care facilities. e) Specifies that services provided in this section include mental health assessment and counseling, family counseling and crisis intervention; home detention, therapeutic day treatment, aftercare, case management, shelter care, foster care, and residential group care. 2) Establishes a program that allows DSS to waive regulations to encourage innovative program design and service delivery at the local level. a) Declares legislative intent to support alternatives to group home care through expanding family-based services, expanding group homes' SB 933 Page 6 capacity to provide services for the changing needs of children in their care, encouraging collaboration among county departments and service providers, and ensuring local community participation in the development of innovative service delivery programs. b) Allows counties to enter into agreements with private, nonprofit agencies to encourage innovation in service delivery, to develop services that are not currently available, and to promote change in the child welfare services system. Specifies that agreements are for periods of up to three years. c) Requires participating counties and service providers to pursue services that allow children to remain in the least restrictive, most family-like setting possible and to promote services that address the needs and strengths of children and their families. d) Requires participating counties to submit a report to DSS within three months of the end of the agreement. The report must specify the details of the agreement, the results achieved, and the applicability of the approach to a wider population. Requires DSS to make county reports available to the Legislature upon request. e) In order to implement agreements, allows the director of DSS to waive regulations governing foster care payments or the operation of group homes when the following conditions exist: i) The agreement offers a test of an innovative approach or encourages the development of a new service. ii) The regulatory requirement prevents the implementation of an agreement. iii) The county agrees to monitor the agreement through performance measures that ensure that the purposes of the waiver are achieved. f) Requires DSS to attempt to maintain federal funds when granting waivers. Allows waivers to require a county match in the event federal funds are lost. g) Prohibits DSS from waiving regulations that apply to the health and safety of children. h) Directs DSS to notify the policy and fiscal committees of the Legislature when waivers are granted and to identify the reason for the waiver. 3) Directs DSS to amend the foster care state plan to allow eligible children up to age 21 to be served by the Independent Living Program. 4) Specifies that state and federal reimbursement for emergency shelter care is available for 60 days. Requires counties to report, by July 1, 1999 and annually thereafter, on the number of children, the ages of children, and the circumstances that require stays of longer than 30 days in SB 933 Page 7 emergency shelter care. Counties must also report on their efforts to develop additional resources to limit the length of stay in emergency shelter care. Comments: 1) Concerns have been raised over how the two program development funds fit in with the program that allows for waivers of regulations. Concerns have also been raised as to how each of these programs encourage, impede or coordinate with the re-examination of the role of group care within the foster care system. Negotiations are continuing on specific language to ensure program coordination and collaboration and on the specific purpose of the program development fund. 2) The provisions that allow waivers of regulations is inconsistent. In the first sentence it allows counties and service providers to enter into "contracts" but the rest of the language refers to "agreements." Suggested technical amendment : On page 148, line 26, strike "contracts" and insert: agreements 3) AB 1724 (Richter) creates a pilot program to allow counties and service providers to work outside of the existing rate structure in order to offer innovative programs to at-risk children. This bill is waiting to be heard in the Senate Health and Human Services Committee. The author may want to consider amendments that incorporate the language or concepts of AB 1724 with the provisions that allow waivers of regulations. Placement protocols and oversight : 1) Requires county social workers or probation officers to visit, at least monthly, all children placed in group homes by county welfare departments or county probation departments. Requires the state to pay 100 percent of the nonfederal costs associated with the monthly visits. 2) Requires DSS to convene a working group to develop protocols outlining the roles and responsibilities of placing agencies and group homes regarding placement of children in group homes. Requires DSS to submit a report containing sample protocols to the Legislature by March 1, 1999. Specifies that model protocols at a minimum include: health, mental health and education information; orientation of the child and family to the out of home care setting; county and provider responsibility in ensuring that the child receives a timely assessment and appropriate court review; exit and discharge data, and dispute resolution. Out-of-state placements : 1) Requires DSS to develop a multi-disciplinary team to review and certify out-of-state placements, within four months of the enactment of the bill. 2) Requires county social service agencies and probation departments to include language in any contract, MOU or agreement under the interstate SB 933 Page 8 compact that allows DSS to investigate any threat to the health and safety of a child in placement, and to interview the child in private or review their files. 3) Requires out-of-state residential facilities to meet California licensing standards. 4) Prohibits the use of any public funds in a residential care facility that fails to obtain or retain certification by DSS. 5) Authorizes a probation officer to temporarily remove a minor from a facility if, upon inspection, the officer determines that the facility or program is not in compliance with the state's licensing standards or those of the board of corrections for similar programs or facilities. 6) Requires the court to review out of state court orders every six months. 7) Declares that DSS has authority to require the approval of a multidisciplinary team before placing minors out-of-state. 8) Requires a review of out of state placements after July 1, 2001. Comments: 1) As of June 1998 California had over 880 probation wards placed out-of- state in group home facilities. The majority of these placements are funded with Title IV-E federal foster care dollars, with a state and county share of cost. DSS currently has no provisions for licensing these out of state facilities. DSS has not established a foster-care rate for out of state group home placements, and provides reimbursement at the highest level of $5,013 per month. 2) The Assembly Budget Committee adopted the following measure: a) Require DSS in conjunction with the Department of Mental Health and probation Departments to develop standards for certification of out-of state facilities by July 1, 1999. b) Prohibit foster care funding for out-of state placement of children except in specific circumstances, including the placement with a relative, placement with an adoptive family, placement pursuant to AB 3632, or other individual circumstances reviewed and approved by DSS. c) Prohibit foster care funding for children residing in out-of state facilities not meeting these requirements by January 1, 2000. 3) The Program Development Fund identified elsewhere in this bill is intended to develop local in-state placement capacity for probation wards currently housed in facilities out of state. 4) The licensing and certification requirements are intended to provide health and safety standards for California probation wards currently housed in out of state facilities. Youth advocates are concerned that SB 933 Page 9 these provisions will not provide adequate oversight. 5) Some probation departments and judges using out of state facilities indicate that the appeal of out of state facilities is the ability of providers to physically restrain probation wards. In California restraint is only allowed in correctional type facilities. 6) Current law requires court review of out of state placements annually. 7) Proposed amendment : Prohibit any placements out-of-state after July 1, 2000, and allow for exceptions to be specified. 8) Suggested technical amendments : Strike all references to 7911.1 and insert: 7911 9) The Judicial Council has requested the following amendments: On page 11, line 11, strike "approval" and insert: assessment and recommendation On page 11, line 12, strike "placing" and insert: placement of State oversight scheme : 1) Includes homes certified by foster family agencies in the types of facilities for which someone can request an inspection by DSS' Community Care Licensing Division. Requires the substance of the complaint to be given to the home and the foster family agency at the time of the inspection. Requires DSS to begin complaint inspections of certified family homes upon the employment of personnel, but no later than June 30, 1999. Requires DSS to notify all licensed foster family agencies when the inspection process begins. 2) Requires applicants for a group home license, once they have satisfied all other requirements for licensure, to operate with a provisional license during the first 12 months of operation. a) Requires DSS to review the facility for compliance with laws and regulations and help develop a plan of correction after 8 months of operation. Requires DSS to determine whether the provisional license should be made permanent after 12 months. b) Allows DSS to extend the provisional license for up to 6 additional months if the group home requires additional time to be in full compliance with licensing standards or if, after 12 months of operation, the facility is operating at less than 50 percent of its capacity. Requires DSS to review the facility after 16 months of operation to determine whether the provisional license should be made permanent. c) Clarifies that DSS may deny a group home license application at any time during the term of the provisional license. If the application is denied, the group home must cease operation immediately. SB 933 Page 10 d) Requires DSS to describe the provisional licensing process and provide the name, address, and telephone number of the district licensing office as part of its notification to the city or county planning authority. e) Requires DSS to adopt emergency regulations to implement these provisions. 3) Requires DSS to establish and preside over a community care facility law enforcement task force. a) Requires the task force, by January 1, 1999, to make recommendations to the Legislature regarding specific statutory and regulatory changes to permit criminal prosecution of, and recovery of public funds from, individuals associated with licensed facilities who are involved in illegal activities surrounding funds paid for the care of individuals in community care facilities. b) Requires the task force to make recommendations regarding the duties of the Fraud Investigation Unit established by the Budget Act of 1998. c) Requires the task force to evaluate the consequences of their recommendations on group home providers who do not engage in illegal activities. d) Specifies that the task force must include representatives of DSS, DOJ, law enforcement officers, probation and welfare workers, district attorneys, providers and current or former foster youth. 4) Requires training of group home and foster family agency licensing personnel to include a minimum of 24 hours training annually on the unique needs of children in group homes and foster family homes. 5) Allows DSS to interview children who are clients of group homes at any public or private agency including a juvenile hall, a recreational or vocational program, or a nonpublic school. Requires DSS to respect the rights of the child while conducting the interview and to inform the child that he or she has the right not to be interviewed and to have another adult present during the interview. 6) Adds DSS to Penal Code provisions regarding child protective agency authority to interview children who are suspected victims of child abuse. Adds the out-of-home care facility to the settings in which the alleged abuse occurred. 7) Allows DSS or its designee to review juvenile court documents when the review pertains to the state's role in oversight of the care and supervision of children in foster care. 8) Establishes a provisional ratesetting system whereby a group home program will receive a provisional rate for no longer than the first thirteen months of operation based on the level of care and services the program proposes it will provide. SB 933 Page 11 SB 933 Page 12 a) Requires determination of the rate classification level (RCL or permanent rate) based on a program audit that verifies the program provided the level of care and services proposed. The audit must cover at least the preceding 60 days. b) Specifies that group home programs are eligible to receive only the RCL determined by DSS during any appeal of the department's RCL determinations. c) Requires DSS to adopt emergency regulations to implement this section. 9) Requires group home financial records submitted to DSS, including time cards and time sheets, to be signed and dated by the employee and by the staff person responsible for ensuring the accuracy of the record. 10) Prohibits group home or foster family agency licensees, employees, members of the board of directors, and officers from offering gifts or other remuneration to employees of DSS or placement agencies that exceed the monetary limits for gifts to employees of the State of California adopted by the Fair Political Practices Commission. a) Prohibits employees of DSS or placement agencies from accepting gifts or remuneration of any type from providers as identified above. b) Declares that violations of this section are a misdemeanor. c) Requests that the Judicial Council study whether the California Code of Judicial Ethics should be amended to further limit or bar gifts from group home facilities, and foster family agencies to judicial officers and employees of the court and to report findings to the Legislature by July 1, 1999. Comments: 1) It is unclear when DSS is supposed to review a facility that is operating with an extended provisional license. Suggested amendment : On page 13, line 37 amend to read: "By no later than the first day of the 17th" 2) Concerns have been raised that the community care facility law enforcement task force does not include public defenders. 3) There may be consequences of the recommendations on community care facilities other than group homes. The author may want to consider evaluating these potentially unintended effects. Suggested amendment: On page 152, line 18 strike "group home" and insert: community care facility 4) The Code of Judicial Ethics establishes standards for ethical conduct of judges on and off the bench. Canon 2 requires that a judge avoid impropriety and the appearance of impropriety in all activities. Cannon 4 requires that a judge conduct quasi-judicial and extra-judicial activities SB 933 Page 13 to minimize the risk of conflict with judicial obligations. Judicial Council is investigating methods of strengthening existing cannons in order to better guard against conflicts of interest. SB 933 Page 14 5) It is unclear whether the requirement for licensing personnel to have 24 hours training per year is in addition to current requirements. Providers have also expressed concerns that the training topics should specifically include the emotional and developmental characteristics of children in out-of-home care. Quality Assurance within group homes and other community care facilities : 1) Expands criminal background clearance requirements, to include FBI checks, for all licensed community care facilities, including residential facilities for children and adults, day treatment programs, adult day care, foster family agencies, foster family homes, small family homes, social rehabilitation facilities, community treatment facilities, residential care facilities for the elderly and for the chronically ill, and all licensed day care homes and facilities. a) Requires applicants for licensure, all adults responsible for administration and supervision of staff, all persons other than clients residing in a facility, all persons who provide personal care to residents or clients, and all staff and volunteers who have contact with clients to submit a set of fingerprints to the Department of Justice to be sent to the FBI for a background check. This is in addition to the fingerprints currently required to be submitted for a California criminal clearance by DOJ. b) Requires all individuals required to obtain a background check to submit their fingerprints prior to their employment or initial presence in the facility. c) Authorizes DSS to create, by adopting emergency regulations, a substitute employee registry for providers to have available a list of individuals who have current clearances. d) Allows DSS to issue licenses to applicants who meet all other requirements but are awaiting the FBI results, as long as the applicant and others required to submit fingerprints sign a statement that the individual has never been convicted of a crime in the United States, other than a traffic infraction. Allows DSS to revoke or suspend the license if it determines that the licensee or other individual affiliated with the facility has a criminal record. e) Establishes a civil penalty for licensees of $100 per violation for failure to submit required fingerprints, and permits DSS to assess further civil penalties for continued violations. f) Requires licensees to maintain documentation of fingerprint clearances or exemptions at the facility. g) Shortens the required turn-around time from 30 to 14 days for DOJ to response to a clearance request. h) Requires DOJ to report to the Legislature by February 15, 1998 on completion of the backlogged criminal clearance requests. SB 933 Page 15 i) Requires DOJ to implement an automated live-scan fingerprint processing system in all CCL district offices by July 1, 1999. j) Requires DSS to promulgate emergency regulations regarding use of live scan technology. At the time the technology is operational in the CCL district offices, requires DOJ to ascertain the criminal history information within three working days, and requires all individuals to have a California criminal clearance prior to their initial presence in a community care facility. If DOJ cannot ascertain the criminal history information within three days, requires DOJ to notify DSS or county licensing agencies of that fact. k) Specifies that changes to the criminal background sections must be implemented 60 days after the effective date of this bill, except provisions requiring submission of fingerprints to the FBI, which shall be implemented January 1, 1999. 2) Establishes a certification program for group home facility administrators modeled after the certification program for administrators of adult residential facilities. a) Allows the program to be paid for out of the Certification Fund. Appropriates $250,000 for the 98-99 fiscal year to the Fund and requires DSS to repay the appropriation out of fees collected in the administration of the program. b) Requires group home facility administrators to complete a DSS approved certification program prior to employment. c) Requires existing facility administrators to be certified within twelve months of the effective date of the bill. d) Declares that anyone who misrepresents himself or herself as a certified administrator of a group home facility is guilty of a misdemeanor. e) Requires renewal of the certificate every two years. Renewal is conditioned upon the certificate holder's completion of 40 hours of continuing education on topics related to group home administration. Allows community college course hours approved by regional centers to satisfy the certification requirements of DSS. Requires all group home facility administrators to complete continuing education requirements. f) Requires administrators to pay a fee of $100 for certification and subsequent renewal. g) Requires group home facility administrators to be at least 21 years old. h) Requires the State Directors of Social Services, Mental Health and Developmental Services, in consultation and collaboration with county SB 933 Page 16 placement officials and provider organizations, to establish a certification program to authorized individuals, organizations, or educational institutions to conduct certification training programs or continuing education courses. i) Requires DSS to establish a registry of certified group home program administrators that includes, at a minimum, information on employment status and criminal record clearance. j) Requires DSS to adopt emergency regulations to implement the administrator certification program. 3) Requires group home providers, in order to receive a rate, to schedule and conduct board meetings at least quarterly in order to review documents including licensing reports, special incident reports, and notices of administrative action against the licensee or its employees. Requires group home providers to make minutes of board meetings available to DSS. a) Requires DSS and DOJ, in consultation with group home providers, to develop and distribute to group home providers information on the roles and responsibilities of board members including financial responsibilities, disclosure requirements, legal requirements and an overview of the laws and regulations governing group homes. Requires group home board members, as a condition to receiving a rate for the program, to sign a form indicating that they have read and understood the information. b) Requires facility operators to give inspection reports to all board members, parents, legal guardians, conservators, client's rights advocates, or placement agencies under specified circumstances. 4) Requires group homes to make copies of all licensing reports issued within the past three years available for inspection by placement officials, clients, and clients family members. 5) For all licensed community care facilities including residential facilities for children and adults, day treatment programs, adult day care, foster family agencies, foster family homes, small family homes, social rehabilitation facilities, community treatment facilities, residential care facilities for the elderly and chronically ill, and all licensed day care homes and facilities: a) Requires corporations applying for licensure as a community care facility to notify DSS of any other facilities that board members have operated, been employed in, or served in as board members. b) Allows DSS to deny or revoke a provisional or permanent license from corporate applicants that have board members who were excluded from another facility. c) Clarifies that violations that exclude a person from a facility also apply to board members. SB 933 Page 17 d) Clarifies that a provider whose license was revoked or denied within the past two years is prohibited from serving on the board of directors of any licensed facility. e) Adds financial malfeasance in the operation of a facility to the list of violations that result in someone being excluded from a facility and that lead to a suspension or revocation of a license. f) Specifies that prior to taking action, DSS must notify the applicant or licensee of the person's ineligibility to serve on the board and give the applicant or licensee 15 days to remove the person from his or her position. 6) Declares legislative intent that group homes either include specified representatives on their boards of directors or establish community advisory boards. The representatives on either the board or community advisory board should include, a member of the board of directors, members of the community where the facility is located, neighbors, current or former clients, and a representative of the local law enforcement agency or other city or county representative. 7) Requires DSS, in consultation and collaboration with county placement officials, provider organizations, the Department of Mental Health (DMH), and the Department of Developmental Services (DDS) to adopt emergency regulations to establish standardized training and continuing education curricula for facility managers and direct child care workers in group homes. Requires the regulations to specify the date by which new and current employees are required to meet the requirements. Requires DSS to provide adequate time for current staff to meet the requirements. 8) Requires group homes providers to state in the group home's plan of operation, the number of hours per week that the facility's administrator will spend completing his or her duties and how those duties will be accomplished. a) For current licensees, requires an amended plan of operation to be submitted to DSS within six months of the effective date of this bill. For new applicants, the information must be included in the plan of operation that is submitted with the application. b) Allows DSS to review a group home's plan of operation to determine whether it ensures that the facility will operate in compliance with licensing laws and regulations. Allows DSS to request that a peer review panel, consisting of departmental representatives, a qualified group home administrator, an experienced provider, and a member from a placing agency, review group homes' plans of operation. 9) Requires group homes to develop a daily schedule of activities for the children at the home and have the schedule available for inspection by DSS. Specifies that the activities must be designed to meet the needs of the individual child based on his or her needs and services plan. 10) Requires an annual independent financial and compliance audit of foster SB 933 Page 18 family agencies and group homes. Allows DSS to determine the activities included in the audit and the requirements to be reviewed during the audit. a) Requires group home programs and foster family agencies, as a condition to receiving a rate, to submit the audit to DSS. b) Specifies that the requirement for an independent financial and compliance audit does not limit the authority of DSS or any county that has a placement contract with foster family agencies or group homes, to conduct their own audits. Clarifies that if the independent audit meets generally accepted auditing standards, additional audit work done by DSS must build upon the work already done. c) Authorizes DSS to require repayment of moneys identified in the audit report that were not expended in accordance with the law. d) Requires DSS to promulgate emergency regulations establishing a process for group home programs serving 12 or fewer clients to receive financial assistance in securing the annual audit. Comments: 1) The portions of the recommendation related to implementation of the live-scan technology were originally in AB 67, a 1997 budget trailer bill, but were chaptered out inadvertently. 2) The requirement for an FBI background check will impose new fiscal pressures on all categories of CCL-licensed facilities, many of which are already fiscally stretched and have high staff turnover rates (therefore requiring frequent fingerprint checks) due to the low salaries they pay. 3) The child care and foster parent communities have expressed concerns over their ability to absorb the costs of submitting a second set of fingerprints for the FBI clearance. 4) It is unclear what is meant by "when live-scan is operational." Are we assured live-scan will be equally accessible in all parts of the state and available to all potential employees of licensed facilities? 5) Negotiations are continuing on the specific language requiring the independent financial audit of group homes. System Reform : 1) Requires DSS to work with stakeholders to re-examine the role of out-of-home placements currently available for children served within the child welfare services system. Specifies that the focus of the re-examination is the role of group care within a family-based system of care and that the process shall be based on empirical research and "best practices" data. 2) Upon a determination of the role of group care, requires DSS to develop SB 933 Page 19 the related programmatic and administrative requirements for group care, giving particular attention to the role of state licensing and the need for new licensing categories. 3) Declares Legislative intent that licensing of group care should not be based on a one-size-fits-all model, rather that options should be made available to effectively serve children who pose a risk of flight or require treatment interventions currently not available. Specifies the treatment interventions as: locked perimeters, structured programs that permit different housing arrangements, clothing restrictions and visitation restrictions. Allows DSS to promulgate emergency regulations if it determines that a new licensing category or categories is necessary. 4) Requires the Health and Welfare Agency (HWA) to develop a proposal, including a work plan and time frames to complete the re-examination process, and submit the proposal to the Legislature by February 1, 1999. SB 933 Page 20 EXISTING LAW : 1) Establishes a statewide foster care system of county-administered services and funding for children who have been removed from their homes by court order. Children are eligible for payments and services until they turn 18 or graduate from high school. 2) Allows children who are wards of the court to access foster care services at the discretion of probation officers and judges. 3) Establishes community care facilities, including group homes for children, to provide nonmedical care and supervision to vulnerable individuals. 4) Requires DSS to license and determine rates for group homes. Rates for group homes for children are established according to a standardized schedule based on staffing levels and services provided. FISCAL EFFECT : The Assembly Budget Committee allocated approximately $82.3 million to implement the group home task force recommendations. The Senate Budget Committee allocated approximately $120 million. The Governor's Budget allocated $50 million for improvements to the child welfare services system. REGISTERED SUPPORT / OPPOSITION : Support County of Los Angeles Board of Supervisors Santa Clara County Board of Supervisors Opposition None on file Analysis prepared by : Victoria Finkler and Eleanor Moses / ahumans (916) 319-2247 29-Jun-1998 Mon 18:31 SB 933 Page 21 ATTACHMENT WIC 16501.2 (a) The Legislature finds and declares all of the following: (1) Safety, stability, and the permanence of families in the Child Welfare System is of paramount importance. (2) Ongoing assessments that build on the strength of the child and family unit, and that identify desired outcomes are critical in the development of appropriate case plans for children. (3) If it is necessary to place a child in out-of-home care, the use of a formal child and family assessment can enhance the appropriateness of placement and the identification and delivery of services necessary to meet the child's needs and strengths, consistent with case plan goals. (b) By December 31, 1998 the department shall issue to all county placing agencies and the courts, current best practice guidelines for the assessment of a child and the child's family unit. The guidelines shall include recommended methods for gathering certain background information on the child and the child's family unit, identifying appropriate services for the case plan, and methods of monitoring and reassessing the case plan to best meets case plan goals. For children placed in group homes or foster family agencies, the guidelines shall include methods for identifying appropriate placement options, and monitoring the services provided by the group home or foster family agency to best address the strengths and needs of the child and the child's family unit. (c) The department shall conduct a pilot project to test the effectiveness of utilizing best practice standards for the assessment of children and families receiving child welfare and foster care services, for the purpose of identifying the strengths and needs of the family and the child, developing and monitoring appropriate case plans, and determining appropriate services. (1) By July 1, 1999 the department shall solicit participation in the pilot by counties, and to the extent possible, provide for broad geographical representation. By September 1, 1999 the department shall select pilot counties and begin operation of the pilots. (2) The pilot shall use an assessment protocol or process developed by the department in collaboration with county agencies and other stakeholders. (3) The pilot shall be evaluated independently to judge the effectiveness of the assessment protocol or instrument, including whether the assessment provides adequate background data on the child and the child's family unit; improves achievement of case plan goals; is judged useful to the counties and service providers, and can be applied with ease SB 933 Page 22 (4) For children placed in group homes or foster family agencies, the assessment instrument or process developed pursuant to subdivision c shall identify the strengths and needs of the child to be met by the placement program and methods for monitoring the delivery of services by the placements agencies. (5) The assessment shall be sensitive to the ethnic and linguistic background of the children and families being assessed, and shall include, but not be limited to the child's age, previous placement history and specific indicators such as living situation, social, medical, educational/vocational, emotional/behavioral, and legal cultural, and religious history; and, areas and activities of interest (d) In collaboration with county agencies and other stakeholders, and based on the results of the pilot project described in this section, the department shall develop a formal assessment process for children receiving foster care and child welfare services. By May 1, 2001 the department shall inform the Legislature on the status of the pilot defined in subsection c, and the proposed assessment instrument or process with recommendations for its implementation, including incorporation of the assessment process into the Child Welfare Services Case Management System. (e) Upon satisfactory completion of the pilot project described in this section, and development of a formal assessment instrument or process, the department in collaboration with representatives of county placing agencies, training academies, and the California Social Work Education Center, shall integrate training and technical assistance on the family assessment guidelines into the curriculum of the Regional Training Academies. 6/29/98